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8998 Lorton Station Blvd Ste E&f Lorton VA 22079-4789 | |
| (703) 344-0590 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8998 Lorton Station Blvd Ste E&f, Lorton, Virginia |
| Authorized Official Name and Position | Sasha Gross (OPERATIONS MANAGER) |
| Authorized Official Contact | 2406013932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14573 Potomac Mills Rd Woodbridge VA 22192-6808 Ph: (703) 499-9779 | 8998 Lorton Station Blvd Ste E&f Lorton VA 22079-4789 Ph: (703) 344-0590 |
| NPI Number | 1528806031 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528806031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Gentle Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9360 Richmond Hwy, Lorton, VA 22079 Phone: 703-495-9992 Fax: 703-495-9993 | |
United Dental Sleep Medicine, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9020 Lorton Station Blvd Unit F104, Lorton, VA 22079 Phone: 804-625-4066 Fax: 804-414-7491 | |